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summer 2010, volume 27, number 2<br />

Education initiatives address<br />

potential MD shortage 10<br />

Using robotics to study<br />

movement disorders 14<br />

A look back at Alumni<br />

Weekend 2010 18<br />

Going through the motions<br />

Sophisticated machines work together to<br />

monitor patients as they perform elbow<br />

and shoulder movements, an activity often<br />

affected by stroke. 14


Photo provided courtesy of the Chicago Cubs.<br />

2 ward rounds summer 2010


Contents<br />

<strong>Ward</strong> <strong>Rounds</strong><br />

Summer 2010<br />

Volume 27, Number 2<br />

Senior Executive Director<br />

of Communications<br />

Tom Garritano<br />

Communications Director/Editor<br />

Michele M. Weber<br />

Contributing Writers<br />

Katie Costello<br />

Devon McPhee<br />

Marla Paul<br />

Cheryl SooHoo<br />

Editorial Board<br />

Richard Ferkel, MD ‘77<br />

Rebecca Katzman, PhD ‘04<br />

June Macchiaverna, PT ‘75<br />

Julie Melchior, MD ‘91<br />

Ukeme Umana, MD ‘85<br />

Darren Boyd, Class of 2011<br />

J. Larry Jameson, MD, PhD, Vice President for Medical Affairs<br />

and Lewis Landsberg Dean<br />

Rebecca A. Cooke, Senior Associate Dean for Administration<br />

Ginny Darakjian, Assistant Dean for Alumni Relations<br />

Katherine E. Kurtz, Dean for Development<br />

Robert M. Rosa, MD, Dean for Regulatory Affairs and Chief<br />

Compliance Officer<br />

Tom Garritano, Senior Executive Director of<br />

Communications<br />

Michele M. Weber, Communications Director<br />

Dean’s Message<br />

page 2<br />

Features<br />

Reform School<br />

Education initiatives help address potential<br />

physician shortage<br />

page 10<br />

Mr. Roboto<br />

PT enlists sophisticated robotics to study<br />

movement disorders<br />

page 14<br />

A Weekend to Remember<br />

Former students return to alma mater<br />

for Alumni Weekend fun<br />

page 18<br />

Alumni Association<br />

F. Douglas Carr, MD ’78, MMM,<br />

President<br />

James A. Hill, MD ’74, GME ’79,<br />

President-elect<br />

<strong>Ward</strong> <strong>Rounds</strong> is published quarterly for alumni and friends<br />

of <strong>Northwestern</strong> <strong>University</strong> Feinberg School of Medicine and<br />

the McGaw Medical Center graduate medical education<br />

programs. Material in <strong>Ward</strong> <strong>Rounds</strong> may not be reproduced<br />

without prior consent and proper credit.<br />

Address all correspondence to:<br />

<strong>Northwestern</strong> Univer sity Feinberg School of Medicine<br />

Office of Communications<br />

420 East Superior Street, Rubloff 12th floor<br />

Chicago, IL 60611<br />

Departments<br />

<strong>Ward</strong> <strong>Rounds</strong> News / page 3<br />

President’s Message / page 22<br />

Alumni News / page 22<br />

Progress Notes / page 27<br />

Upcoming Events / page 29<br />

Call or e-mail us at 312-503-1246 or<br />

ward-rounds@northwestern.edu.<br />

©2010 <strong>Northwestern</strong> <strong>University</strong><br />

<strong>Ward</strong> <strong>Rounds</strong> is a federally registered trademark of<br />

<strong>Northwestern</strong> <strong>University</strong>.<br />

Design<br />

Pivot Design, Inc.<br />

Facing<br />

The Feinberg School of Medicine and <strong>Northwestern</strong> Memorial Hospital have teamed<br />

up with the Chicago Cubs to showcase the new <strong>Northwestern</strong> Medicine brand<br />

throughout historic Wrigley Field. As part of this important sponsorship, there is<br />

highly visible signage near the visitors’ on-deck circle, as well as on the new Chicago<br />

Cubs Wall of Fame in the concourse, and the logo is emblazoned on dozens of hand<br />

sanitizers all over the park. <strong>Northwestern</strong> Medicine is the name attached to our<br />

collaborative strategic plan to transform health care and be among the nation’s top-tier<br />

academic medical centers.


Dean’s Message<br />

The Class of 2010 celebrated graduation on Thursday, May 20,<br />

surrounded by friends, family, and faculty. Professor Dan<br />

Federman, senior dean for alumni relations and clinical teaching at<br />

Harvard Medical School, and one of the leading educators of our<br />

time, offered perspectives on the profession of medicine and encouraging<br />

words as this next generation joins our ranks. The enthusiasm<br />

of the graduating class was electric and I was buoyed by thoughts of<br />

their future contributions to medicine. They have been accepted to<br />

a range of wonderful residency programs across the country, including three of the eight<br />

Family Medicine slots offered by our new Feinberg program.<br />

Each graduating class reminds us of the importance of continuous curriculum renewal.<br />

The rapid changes in medicine are sometimes startling and we must keep pace with new<br />

developments such as electronic medical records, simulation technology, genetics, and<br />

imaging. At the same time, many facets of medicine such as altruism, empathy, communication,<br />

and dedication remain unchanged, and are arguably even more important as patients<br />

navigate an increasingly complex health care system. During this 100th anniversary of the<br />

Flexner Report on medical education, it is fitting that we are deeply engaged in curriculum<br />

reform to address changing student needs. This is a major undertaking, the details of which<br />

we will continue to share as we work toward implementation for the 2012/13 academic year.<br />

The new curriculum will be built upon the solid foundation that exists in our current framework,<br />

and the Steering Committee envisions an innovative, integrated curriculum that provides<br />

students with earlier, substantive clinical experience, increased flexibility in designing<br />

a course of study, and the opportunity to explore scholarly areas of interest in greater depth.<br />

One small aspect is highlighted in the “Reform School” feature in this issue, describing the<br />

activities of our recently reinvigorated Department of Family and Community Medicine.<br />

It is a challenging but exciting time to be in health care and medicine. With many of the<br />

changes we are currently pursuing at <strong>Northwestern</strong> <strong>University</strong> Feinberg School of<br />

Medicine, we will continue to create areas of excellence in our approach to medical<br />

education, striving to form the careers of talented clinicians and researchers, and blazing<br />

new trails for others to follow.<br />

Best regards,<br />

J. Larry Jameson, MD, PhD<br />

Vice President for Medical Affairs and<br />

Lewis Landsberg Dean<br />

2 ward rounds summer 2010


<strong>Ward</strong> RounDS nEWS<br />

Maggie Daley Center for Women’s Cancer Care<br />

The Maggie Daley Center for Women’s<br />

Cancer Care, part of the Robert H. Lurie<br />

Comprehensive Cancer Center of <strong>Northwestern</strong><br />

<strong>University</strong>, was unveiled in April.<br />

The center is a partnership between <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of<br />

Medicine, <strong>Northwestern</strong> Medical Faculty<br />

Foundation, <strong>Northwestern</strong> Memorial<br />

Hospital, and the Rehabilitation Institute<br />

of Chicago.<br />

Named after the First Lady of<br />

Chicago, who receives treatment for breast<br />

cancer at the Lurie Cancer Center, the new<br />

two-floor Center for Women’s Cancer<br />

Care offers a unique integrative, holistic<br />

approach to cancer care that addresses all of<br />

a woman’s needs — emotional, aesthetic,<br />

and physical — during treatment. Centralizing<br />

these services is important because<br />

finding and driving to various locations<br />

often feels overwhelming to a patient<br />

whose primary focus is cancer treatment.<br />

At the center, located in <strong>Northwestern</strong><br />

Memorial Prentice Women’s Hospital, a<br />

patient can access services to improve<br />

quality of life in the same place she is receiving<br />

cutting-edge therapy for breast and<br />

gynecological cancers from internationally<br />

renowned medical oncologists, gyneand<br />

surgical oncologists. A woman could<br />

get acupuncture or Reiki, visit a nutritionist<br />

or see a health psychologist to cope with<br />

her diagnoses and life during treatment, all<br />

while receiving chemotherapy. A new<br />

program also offers rehabilitation services<br />

for women to maximize their strength and<br />

endurance. A “healing boutique” offers<br />

wig and prosthesis fittings, hats, and<br />

makeup consultations for patients undergoing<br />

chemotherapy and radiation treatments.<br />

The Center for Women’s Cancer Care<br />

also offers patients access to novel therapies<br />

and drugs, as well as more than 100 clinical<br />

trials. A cancer genetics program screens<br />

patients at higher-than-average risk for cancer<br />

and provides education and guidelines<br />

for early detection and possible disease prevention.<br />

The center includes 11 private chemotherapy<br />

rooms, most with lake views, as<br />

well as a group chemotherapy area.<br />

Mrs. Daley, accompanied by her<br />

husband, Mayor Richard M. Daley, spoke<br />

at an April 19 ceremony to celebrate the<br />

center’s opening.<br />

First Lady Maggie<br />

Daley (seated)<br />

spoke at the April<br />

19 dedication of<br />

the Center for<br />

Women’s Cancer<br />

Care that carries<br />

her name. Her husband,<br />

Mayor Richard<br />

Daley (left), is<br />

pictured with philanthropist<br />

Ann<br />

Lurie and Dr. Steven<br />

Rosen, director of<br />

the Robert H. Lurie<br />

Comprehensive<br />

Cancer Center of<br />

<strong>Northwestern</strong><br />

<strong>University</strong>.<br />

“The tremendous care I have received<br />

from <strong>Northwestern</strong> Hospital and the Lurie<br />

Cancer Center has impressed upon me the<br />

remarkable healing power of care in every<br />

sense of the word — from treatment to<br />

thoughtfulness, protection, and sensitivity.<br />

“When people walk into this center for<br />

women’s cancer care, which now carries<br />

my name … a fact that has honored me<br />

more than anyone will ever know … I feel<br />

certain that they will receive the utmost<br />

care possible, both medically and emotionally,<br />

in both big and small ways,” she said.<br />

Marla Paul<br />

Feinberg Moves Ahead — Again!<br />

For the second year in a row, <strong>Northwestern</strong> <strong>University</strong> Feinberg<br />

School of Medicine has jumped one space forward in the U.S.<br />

News & World Report rankings, moving from No. 19 to<br />

No. 18 in the category of Best Research Medical School. Feinberg<br />

shares the spot with Mount Sinai School of Medicine.<br />

Rankings are based on five categories that can be classified into<br />

two areas: the opinion of experts (deans, program directors, and<br />

senior faculty members) about program quality, and statistics that<br />

measure the quality of the school’s students, research activity, and<br />

faculty. The medical school began participating in the survey in<br />

1995 and ranked 32 that year.<br />

0<br />

10<br />

20<br />

30<br />

40<br />

50<br />

U.S. News & World Report ranking has<br />

been consistent for more than a decade<br />

22<br />

2000<br />

20<br />

2001<br />

22 21<br />

2002<br />

2003<br />

20 20 20<br />

2004<br />

2005<br />

2006<br />

21<br />

2007<br />

20<br />

2008<br />

19<br />

2009<br />

18<br />

2010<br />

wardroundsonline.com 3


<strong>Ward</strong> RounDS nEWS<br />

Medical School Journey Complete<br />

for the Feinberg Class of 2010<br />

Members of the Class of 2010 spent four momentous years<br />

navigating the challenging world of medical school — studying<br />

and training in a focused effort to absorb all they could about<br />

the practice of medicine. On May 20, these 156 <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine graduates joined their<br />

family, friends, and faculty mentors at Chicago’s Navy Pier<br />

Grand Ballroom to complete the last leg of their emotional<br />

journey to become physicians: earning their Doctor of<br />

Medicine (MD) degrees.<br />

J. Larry Jameson, MD, PhD, vice president for medical<br />

affairs and Lewis Landsberg Dean of the medical school, cut<br />

through the nervous anticipation of all assembled and set the<br />

stage for the long-awaited event. Jameson reminded the 151 st<br />

graduating class that they were departing medical school during<br />

a time of health care reform and great scientific advancements —<br />

an exciting, yet challenging time of change and transition that<br />

they are well poised to handle and succeed in.<br />

Jameson went on to say, “Please retain the passion that<br />

brought you into the profession of medicine and the core values<br />

that you have developed during your training here; these will<br />

guide you throughout your career. Also, never forget along<br />

the way that <strong>Northwestern</strong> <strong>University</strong> Feinberg School of<br />

Medicine will always be one of your homes, an alma mater, a<br />

place to renew your friendships.”<br />

In his remarks,<br />

<strong>University</strong> President<br />

Morton O.<br />

Schapiro, PhD,<br />

again spoke<br />

directly to the<br />

graduates, declaring<br />

a certain faith<br />

he has in them to<br />

proudly represent<br />

the medical school and the university in their practice of<br />

medicine. “I know you’re going to change the world,” he<br />

emphatically stated.<br />

During the ceremony, Thomas C. Corbridge, MD, professor<br />

of medicine in the Feinberg Division of Pulmonary and<br />

Critical Care Medicine, received the 2010 George H. Joost<br />

Award for teaching excellence. During his acceptance, Corbridge<br />

reminded the class to savor their accomplishments and<br />

make certain they remain students for life. He added that he<br />

was “truly moved to be recognized by such an intelligent group<br />

of physicians.”<br />

In presenting the award, Class President Martin Pham, MD<br />

’10, of Santa Ana, Calif., described Corbridge as a “persuasive<br />

instructor and wonderful friend.” Pham, who was matched in<br />

the <strong>University</strong> of Southern California’s neurological surgery<br />

residency program, is excited to be returning to his home state<br />

to start his career.<br />

“I’ve always been interested in science and want to use that<br />

knowledge to help people directly,” Pham said. “As a physician,<br />

I’ll be able to help people at their time of greatest need; it’s more<br />

than an honor, it’s a privilege.”<br />

Following the faculty award, Daniel D. Federman, MD,<br />

senior dean for alumni relations and clinical teaching and Carl<br />

W. Walter Professor of Medicine and Medical Education at<br />

Harvard Medical School, presented the keynote address. His<br />

lighthearted, yet insightful recommendations focused on three<br />

main topics (teaching, loving, and choosing) and for each, he<br />

provided a mantra that the newly proclaimed doctors could<br />

bear in mind throughout their careers.<br />

In regard to teaching, Dr. Federman’s advice was to “stick<br />

to the basics, think out loud, and be kind,” reminding the class<br />

to never miss a chance to say something positive to someone<br />

else. As he discussed loving, Federman recalled his residency<br />

Above: Senators from the<br />

four student medical<br />

colleges pose with Class<br />

President Martin Pham<br />

(right). They include: Leslie<br />

Kim, Marguerite Converse<br />

(center), Jason Rho<br />

and Lindsay Kuo. Right:<br />

Dr. Daniel Federman,<br />

Harvard Medical School,<br />

gave the keynote address<br />

in the Grand Ballroom at<br />

Chicago’s Navy Pier.<br />

4 ward rounds summer 2010


To view more<br />

graduation photos,<br />

visit <strong>Ward</strong><strong>Rounds</strong>Online.com.<br />

“As a physician, I’ll be able to<br />

help people at their time of<br />

greatest need; it’s more than<br />

an honor, it’s a privilege.”<br />

— Martin Pham, MD ‘10<br />

experience and cautioned graduates that the long hours, constant<br />

fatigue, and overwhelming responsibility for the life and<br />

death of patients would take its toll on their relationships.<br />

Despite their hectic schedules, he counseled them to “kiss and<br />

hug your loved ones at every chance” because you never know<br />

when you will fall asleep and lose the opportunity to do so.<br />

When speaking of making choices in a world of “moral hazard,”<br />

the Harvard dean pleaded with the graduates to “always take<br />

the high road,” regardless of the pressures they will most certainly<br />

face.<br />

Dr. Federman’s poignant address served as the final lesson<br />

for the Class of 2010. It was, at last, time for Dean Jameson,<br />

along with President Schapiro, to distribute diplomas, while<br />

the college mentors hooded each graduate, signifying their<br />

transition from student to doctor. At the same time, many<br />

graduates were honored with additional academic distinctions.<br />

Following the conferring of degrees, Susie Morris, MD ’10,<br />

MA ’10, of Price, Utah, who was selected as the class speaker by<br />

medical school deans and her Student Senate peers, addressed<br />

the convocation. Morris will soon begin her psychiatry residency<br />

at the <strong>University</strong> of Southern California.<br />

In her humorous and retrospective speech, Morris shared<br />

an embarrassing story about a patient care mishap that a kindhearted<br />

resident had deemed her “one big screwup,” and tales<br />

of medical school memories she would carry with her forever.<br />

Morris also reflected on her teachers — those faculty members<br />

“who remember that in the beginning, nothing is obvious; that<br />

‘pimp’ questions should not be ego driven; and that ‘Is there<br />

Top, left: Emmanuel Bessay, MD ’10, a native of Liberia, West<br />

Africa, celebrates with family. Top, right: Sylvia Ukonga, MD ’10,<br />

is hooded by college mentor Andrea Baumgartner, MD. Inset:<br />

Susie Morris, MD ’10, MA ’10, was selected as class speaker by<br />

her peers and the medical school deans. Above: The newly<br />

minted doctors toast one another.<br />

anything else I can do for you?’ is student-speak for ‘Can I<br />

please go home now?’”<br />

To conclude the ceremony, the graduates recited the Declaration<br />

of Geneva, also known as The Physician’s Creed —the<br />

same oath they took as first-year medical students —pledging<br />

to maintain by all means in their power “the honor and the<br />

noble traditions of the medical profession” and always considering<br />

the health of their patients first and foremost.<br />

Upon departing the ballroom, the Class of 2010 gathered<br />

with Dean Jameson, who led a traditional champagne toast that<br />

celebrated their achievements and marked the beginning of the<br />

next phase of their lives —their new journey as physicians.<br />

Katie Costello<br />

wardroundsonline.com 5


<strong>Ward</strong> RounDS nEWS<br />

norTHWESTErn MEDICIne tm<br />

Health Care Reform 2010 Highlights<br />

President Obama signed the Patient<br />

Protection and Affordable Care Act<br />

(PPACA) into law on March 23, 2010, legislation<br />

that holds promise of being the<br />

most important public policy achievement<br />

of this generation. Until now, payment for<br />

medical care had grown, except for Medicare,<br />

in a fashion entirely without public<br />

planning. Consequently, the United Sates<br />

has been the only developed nation without<br />

universal health care coverage, with more than 45 million<br />

Americans without access to pay for health care. To add insult<br />

to injury, despite pockets of world-class medicine, the U.S. as a<br />

whole does not rank near the top of any list of national health<br />

care excellence, while leading the world in costs. Here are some<br />

highlights of the 1000-<br />

page bill.<br />

new insurance<br />

regulations<br />

PPACA prohibits<br />

some of the most negative<br />

practices of the<br />

health insurance industry. Effective immediately, insurance can no<br />

longer exclude children because of pre-existing conditions. By<br />

2014, pre-existing exclusions for adults will disappear. Until then a<br />

subsidized health insurance exchange will temporarily be<br />

available. Insurance companies cannot impose lifetime limits on<br />

coverage. The federal government will regulate annual coverage<br />

limits until 2014, at which time annual limits will disappear.<br />

Dependents of parents with insurance must have optional coverage<br />

until age 26. The law prohibits rescission, the practice of insurance<br />

dropping individual coverage because of high utilization.<br />

Finally, preventive services will have no out-of-pocket costs.<br />

insurance plan<br />

Insurance companies, like any other business, need revenues to<br />

exceed expenses. Employers choose among various plan benefits<br />

and prices that are difficult to compare because benefits vary from<br />

plan to plan. PPACA addresses this challenge in several ways.<br />

Insurance companies will participate in insurance exchanges to<br />

create transparency and facilitate comparison shopping. Both individuals<br />

and employers will choose coverage from these exchanges.<br />

Larger employers can self-insure or purchase plans. The Department<br />

of Health and Human Services will review and certify plans<br />

in exchanges.<br />

The insurance industry uses “loss ratio” as a euphemism for<br />

benefits they pay for care, as opposed to administrative costs, capital<br />

investments, and profits. The legislation limits minimum loss<br />

ratio to 85% for large group plans; 80% for small group plans; and<br />

75% for individual plans. Thus, a greater share of premiums will<br />

fund actual care provision.<br />

Health care reform imposes restriction on plans for discrimination.<br />

By 2014, there will be no difference in plans by gender or<br />

health. The ratio between highest to lowest premiums by age will<br />

be limited to 3:1 and by tobacco use to 1.5:1.<br />

coverage for the poor<br />

The federal government will mandate that states provide Medicaid<br />

for all below 133% of the federal poverty level, with graduated<br />

mandates up to 400%. The federal government will provide<br />

matching subsidies to states that have less generous provisions.<br />

In addition, Medicaid must pay at 100% of Medicare rates. There<br />

will be subsidies so residents can purchase individual plans from<br />

insurance exchanges.<br />

payment<br />

reform<br />

The Congressional<br />

Budget Office (CBO)<br />

certified PPACA as<br />

budget neutral or better<br />

over 10 years.<br />

Clearly, the CBO predicated potential for controlling rapidly<br />

escalating health care costs to payment reform. At present, both<br />

governmental and private insurance reimburse for individual services,<br />

an environment that leads to disproportionate compensation<br />

for specialty versus primary care and a strong incentive to do<br />

more. Medicare, and consequently almost all insurers, use a<br />

Resource-Based Relative Value System to set payments. Unfortunately,<br />

this system has been a total failure and has escalated the<br />

drift of physicians into specialized care. The reform law provides<br />

for demonstration projects to bundle charges, replacing pay for<br />

service or procedure.<br />

The legislation proposes complicated mechanisms for physicians<br />

and hospitals to report quality measures, ultimately progressing<br />

to adjusting payment to quality. Both metrics to assess<br />

quality and appropriate sampling size remain undefined. There<br />

are funds for demonstration projects to assess using “accountable<br />

care organizations” as a method to measure quality while controlling<br />

costs and coordinating care.<br />

The haphazard U.S. health care system is inequitable, inefficient,<br />

and financially unsustainable. PPACA is a partial fulfillment<br />

of President Obama’s campaign promise to create a<br />

sustainable, fair system. The health care reform legislation leaves<br />

many unsolved challenges, but may prevent a system meltdown.<br />

Jim Foody, MD, FACP<br />

Professor of Medicine and Vice Chair for Clinical Affairs<br />

<strong>Northwestern</strong> <strong>University</strong> Feinberg School of Medicine<br />

Governor, American College of Physicians,<br />

Northern Illinois Chapter<br />

6 ward rounds summer 2010


Batjer Co-chairs NFL Head, Neck and Spine Medical Committee<br />

H. Hunt Batjer, MD, Michael J. Marchese Professor of Neurological Surgery and chair in the <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine Department of Neurological Surgery, was recently named by<br />

Commissioner Roger Goodell as one of the new co-chairs of the National Football League (NFL) Head, Neck<br />

and Spine Medical Committee.<br />

As co-chair of the committee, Batjer will assist in strengthening the NFL’s leadership role in research,<br />

education, prevention, and treatment of head and spine injuries in sports. Batjer will also seek to advance the<br />

mission of the NFL Head, Neck and Spine Medical Committee. Batjer, and co-chair Richard G. Ellenbogen,<br />

MD, of the <strong>University</strong> of Washington School of Medicine, will also be responsible for appointing other<br />

members of the committee.<br />

While the focus of their research explorations will be on the safety of NFL players, Batjer says that the findings<br />

regarding how to make contact sports safer will apply to non-professional sports and even children’s athletics.<br />

“This is a great opportunity to take a fresh look at the science that we have behind NFL policies and engage in proactive activities<br />

like longitudinal assessments of athletes throughout their careers and beyond that will allow us to discover new knowledge,” he says.<br />

Batjer anticipates that a number of his colleagues from <strong>Northwestern</strong> will be involved in the projects that the committee initiates,<br />

including materials sciences experts from the Robert R. McCormick School of Engineering and Applied Science who can assist in<br />

developing technology like nanomaterials in order to improve the safety of athletic equipment by making impacts safer on the head<br />

and spine.<br />

Teresa Woodruff Awarded<br />

Tripartite Legacy Prize<br />

Teresa Woodruff, PhD, Thomas J.<br />

Watkins Professor of Obstetrics and<br />

Gynecology, chief of the Division of<br />

Fertility Preservation, and director and<br />

founder of the Institute for Women’s<br />

Health Research at <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine,<br />

is the 2010 recipient of the Tripartite<br />

Legacy Faculty Prize — an award<br />

presented annually at Lewis Landsberg<br />

Research Day to the faculty member who has demonstrated<br />

excellence in research that emphasizes translational approaches,<br />

teaching and mentoring, and leadership.<br />

Teaching and mentoring are at the heart of Woodruff’s<br />

successful career at Feinberg, which began in 1995; and her<br />

impressive research and career accomplishments place her<br />

among the medical school’s most honored faculty. Woodruff<br />

maintains that she’s simply a product of the university’s researchbased<br />

environment.<br />

For Woodruff’s colleagues, it was no surprise that she was this<br />

year’s winner of the Tripartite award, as they consider her one of<br />

the “best and the brightest.”<br />

Sherman Elias, MD, John J. Sciarra Professor and chair in the<br />

Feinberg Department of Obstetrics and Gynecology, nominated<br />

Woodruff for this honor because, he says, her work as an educator<br />

at all levels — from high school students, to university<br />

students, to postgraduate education — has had an enormous<br />

impact on individuals and society.<br />

“Teresa has helped <strong>Northwestern</strong> become one of the premier<br />

national and international centers for reproductive biology,<br />

obstetrics and gynecology, and women’s health care research<br />

and care,” says Elias.<br />

Pat Garcia Named to<br />

Presidential AIDS Council<br />

Patricia Garcia, MD, MPH, associate<br />

professor in the Department of Obstetrics<br />

and Gynecology at <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine,<br />

has been appointed to the Presidential<br />

Advisory Council on HIV-AIDS.<br />

For the next three years, she will serve<br />

on President Barack Obama’s 24-member<br />

council (including researchers, service<br />

providers, and community leaders) to<br />

help reduce HIV-AIDS incidence, improve health outcomes,<br />

reduce disparities, and assure access to quality care.<br />

Dr. Garcia believes her appointment comes at a critical time.<br />

“Health care reform is incredibly important to those affected<br />

by HIV,” she said. “As money becomes tighter, states are being<br />

forced to weigh prevention versus treatment, and prevention is<br />

the key to the future.”<br />

Garcia, who also chairs the board of the Pediatric AIDS<br />

Chicago Prevention Initiative, believes her appointment to the<br />

Presidential AIDS Council is a reflection of the progress the<br />

Chicago community has made in perinatal HIV prevention.<br />

<strong>Northwestern</strong> has a long history of collaborating with many<br />

organizations devoted to this cause, including the AIDS<br />

Foundation of Chicago.<br />

“We’ve focused on providing services to pregnant women<br />

and prevention in both women and children,” said Garcia,<br />

director of the Perinatal HIV Program at <strong>Northwestern</strong><br />

Memorial Hospital. “I’m excited and enthused to address HIV<br />

issues on a national and international level.”<br />

(information taken from <strong>Northwestern</strong> Memorial Hospital<br />

press release)<br />

wardroundsonline.com 7


<strong>Ward</strong> RounDS nEWS<br />

Tackling Pediatric Patient Safety in Chicago<br />

It was essentially an unmapped frontier before Donna Woods, EdM, PhD, and Jane Holl, MD, MPH, decided to<br />

help improve pediatric patient care at Children’s Memorial Hospital (CMH) in 2003. Dr. Woods led the study<br />

with Dr. Holl that determined that more than 70,000 children annually (a conservative estimate they cited in<br />

Pediatrics in 2005) experience adverse effects serious enough to cause a longer hospital stay or, worse yet,<br />

disabilities, and 60 percent of these situations are preventable. Woods and Holl quickly realized that if they<br />

were going to make a positive impact, more could be accomplished by involving other institutions. Thus was<br />

born Woods’ idea, the Chicago Pediatric Patient Safety Consortium (the Consortium), the only effort of its<br />

kind in the country.<br />

“Pediatric medicine is different than adult care and so are the<br />

safety issues,” explains Woods, co-director of graduate programs<br />

in Healthcare Quality and Patient Safety, a collaboration between<br />

the graduate and medical schools at <strong>Northwestern</strong>. “Clinicians are<br />

seeing children from infancy to 18 years of age — the epidemiology<br />

and treatments are different, as are the cognition and physiology<br />

— which leads to a lot of complexity. Medication safety, the<br />

most widely studied area of pediatric safety, indicates that errors<br />

in medication delivery are more common in children because dosages<br />

must be customized and calculated for each patient.”<br />

With these complicating factors, and the volume of pediatric<br />

patient care, Dr. Woods, a research professor at <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine, felt a multi-institutional<br />

approach was necessary. Together with Dr. Holl, associate professor<br />

of pediatrics, she convinced pediatric chairs at Chicago hospitals<br />

treating large numbers of children, including John H. Stroger<br />

Jr. Hospital of Cook County, Mt. Sinai Children’s Hospital,<br />

Advocate Lutheran General Children’s Hospital, and Advocate<br />

Hope Children’s Hospital, to join their efforts.<br />

The duo co-chairs the group, which includes urban and suburban,<br />

as well as a safety net and a freestanding children’s hospital.<br />

This diversity allows them to collect important data about inpatient<br />

safety risks (the sickest kids and most complex cases), and<br />

develop effective interventions to improve pediatric patient safety<br />

in different environments, says Woods. It also gives them a significant<br />

volume of patients to study and provides anonymity to the<br />

participating institutions.<br />

“We were very fortunate in identifying pediatric department<br />

leaders who said, ‘we know we need to do this’ — and who really<br />

took on the task of convincing their leadership,” says Dr. Holl,<br />

who was recently named director of the Institute for Healthcare<br />

Studies at the Feinberg School of Medicine.<br />

Clinical Perspective<br />

Michael Reese Health Trust provided the Consortium’s initial<br />

funding to conduct pediatric patient safety assessments. Sixty-five<br />

focus groups were held with clinicians at different professional<br />

levels in each institution. It was no surprise that teamwork and<br />

communication — as previously shown in the literature to be the<br />

root cause of many patient safety errors — were highlighted.<br />

“We learned a lot through this process,” explains Woods, “and,<br />

as a result, developed training modules around standardized communication.<br />

Communication is a fundamental skill; we learn it<br />

early and it becomes connected to who we are. Because there is no<br />

significant training on how to communicate in health care, each<br />

person brings his or her own idiosyncratic style. We felt there<br />

should be a standardized structure for organizing information.”<br />

In addition to creating a 20-minute computer training module<br />

covering standardized communications in patient care and appropriate<br />

clinical team responses, they crafted the policies required to<br />

support these activities.<br />

Woods and Holl quickly learned that table-top exercises and<br />

computer modules worked to enhance patient safety awareness,<br />

but to change behavior, more robust training was needed. As a<br />

result, they began using simulation exercises on medical teamwork<br />

and communication. These videotaped sessions enable individual<br />

clinicians to view and critique their approaches, highlighting the<br />

need for personal and team improvement.<br />

The Consortium typically uses Children’s Memorial Hospital<br />

to pilot test all interventions before dissemination to the other<br />

participating institutions. “This is a beautiful example of how<br />

8 ward rounds summer spring 2010


Donna Woods, EdM,<br />

PhD, had the idea to<br />

start a pediatric patient<br />

safety consortium in<br />

Chicago, which has<br />

been going strong for<br />

seven years.<br />

academia can team up with and leverage the clinical capacity of<br />

community partners to effect change,” says Dr. Holl, CMH’s<br />

patient safety medical director. “Children’s has seen the overall<br />

benefits of this through increased focus and awareness.” At present,<br />

the Consortium is tapping into the expertise of Dr. William<br />

Hamman, who helped create training systems for pilots at United<br />

Airlines, to develop and implement a method of simulation called<br />

“in-situ” — scenarios conducted in the actual clinical setting. The<br />

focus is twofold: develop capacity to conduct these simulations<br />

and build effective models for medical teamwork.<br />

Dr. Holl also took advantage of the relationship between<br />

United Airlines and CMH and adapted one of the air carrier’s<br />

robust programs to fit the hospital’s needs. “We’ve been able to<br />

implement a successful reporting system (100 incidents reported<br />

every week since 2005) and a separate organizational structure to<br />

promote patient safety,” explains Holl. The cross-disciplinary<br />

Safety Quality Learning Team reviews, addresses, and communicates<br />

solutions about reported problems.<br />

Open to Sharing<br />

An original Consortium member is Dr. David Soglin, chairman<br />

of the Department of Pediatric Health and Hospital Systems for<br />

Cook County and John H. Stroger Jr. Hospital. “We launched<br />

this group thinking, ‘Let’s see where it takes us.’ We’ve worked<br />

together to develop research-driven projects that have practical<br />

value — things that I can and should be dealing with and that contribute<br />

to our QI work at Stroger,” he explains.<br />

“There are real advantages to participating, including access to<br />

like-minded colleagues with different ideas, and the opportunity<br />

to contribute to the knowledge of pediatric safety,” Soglin continues.<br />

“From a scientific standpoint, working with different hospitals<br />

with different characteristics has allowed us to figure out if the<br />

problems we identified were unique to one organization or an<br />

issue that all the institutions were experiencing.”<br />

Along with two other doctors and a research assistant, and<br />

pulling in other staff as needed for different Consortium projects,<br />

he participates in bi-weekly phone calls and quarterly meetings.<br />

The busy chair says he wishes he could do more.<br />

Still Going Strong<br />

In its seventh year, the consortium has received three grants from<br />

Michael Reese Health Trust to continue its pediatric patient safety<br />

work, which now is focused on teaching member institutions how<br />

to develop and implement their own in-situ simulations to<br />

improve communication and teamwork and identify issues and<br />

challenges in existing organizational systems. Woods and Holl are<br />

pleased that the Consortium has continued to evolve and that the<br />

members are still committed after so many years.<br />

“The Consortium members have been great colleagues<br />

throughout this process,” says Woods. “They have been very<br />

supportive on many dimensions because they see the true value<br />

not only in our work in Chicago, but also in the papers and presentations<br />

that spread the knowledge and learning.”<br />

Jane Holl, MD, MPH,<br />

co-chairs the consortium<br />

that includes five large<br />

Chicago hospitals with significant<br />

pediatric services,<br />

including Children’s<br />

Memorial Hospital.<br />

There are two current research projects funded by the Agency<br />

for Healthcare Research and Quality that Drs. Holl and Woods<br />

believe have widespread potential. The first involves creating a<br />

national standard for critical communications to improve effectiveness,<br />

reliability, and safety when transferring seriously ill children<br />

from smaller referring hospitals to institutions with large<br />

pediatric services. The second project will build the capacity to<br />

conduct in-situ simulations to improve communication, teamwork,<br />

and the safety of organizational systems within the diverse<br />

Consortium institutions.<br />

“Our work is so relevant to clinical practice,” Holl explains.<br />

“We realize it has spurred internal process improvement, putting<br />

pediatric patient safety on the Consortium hospitals’ radar screens<br />

and bringing different clinicians together to design improved<br />

safety processes and systems.”<br />

Michele M. Weber<br />

wardroundsonline.com 9


10 ward rounds summer 2010


Using 22 different pens, President Obama signed the historic<br />

2010 Patient Protection and Affordable Care Act (also<br />

known as the Health Reform bill) into law on March 23.<br />

Making health care more affordable for the estimated 32<br />

million Americans currently without insurance, and bringing<br />

it more in line with the financial means of many others,<br />

the act also aims to improve patient safety and quality of<br />

care. It hopes to promote a culture of disease prevention<br />

and wellness, where individuals and families more frequently<br />

seek doctor’s offices and other care models rather<br />

than emergency departments for medical treatment.<br />

While health reform will improve patient outcomes and<br />

care for the underserved, one significant wrinkle could<br />

make caring for many more Americans extremely difficult.<br />

By 2025 the United States may be running a deficit of as<br />

many as 159,000 physicians, with reform measures potentially<br />

increasing the shortfall by 25 percent, according to the<br />

Association of American Medical Colleges (AAMC).<br />

“There are physician shortages in a variety of areas; general<br />

surgeons and pediatric subspecialists, for example;<br />

however, by far the largest shortage of providers we face is<br />

of primary care physicians and that’s without health care<br />

reform,” says Russell G. Robertson, MD, chair of the<br />

Department of Family and Community Medicine at<br />

<strong>Northwestern</strong> <strong>University</strong> Feinberg School of Medicine.<br />

Since 2006 Dr. Robertson has served as chair of the Council<br />

on Graduate Medical Education (COGME). One of 17<br />

council members, he advises Congress and the Department<br />

of Health and Human Services on issues relating to U.S.<br />

physician supply and distribution. “One of the challenges is<br />

helping people understand how dire the shortage really is.”<br />

Involved in the development of the legislation pertaining to<br />

primary care training and access, Dr. Robertson traveled to<br />

Washington, D.C., more than a dozen times last and early<br />

this year. Fortunately, his background makes him uniquely<br />

suited to educating legislators and others concerned about<br />

a future drought of physicians and other health care professionals.<br />

Dr. Robertson taught elementary and junior high<br />

school in Utica, Mich., for four years before deciding to<br />

become a physician. After fulfilling his pre-med requirements,<br />

he started on his new career path by earning an MD<br />

degree at Wayne State <strong>University</strong> in 1982 and then completing<br />

a family medicine residency at Grand Rapids Medical<br />

Education and Research Center in Michigan, as well as<br />

a fellowship in faculty development at the <strong>University</strong> of<br />

Missouri in 1985. He later acquired a certificate of added<br />

qualification in geriatrics. Joining Feinberg in 2005 as department<br />

chair, Dr. Robertson continues to focus on education<br />

as a means to ensure an adequate pipeline of health care providers<br />

for the nation through innovative academic programs<br />

and experiences and mentoring junior faculty.<br />

“Russ sees the big picture across many different stages,<br />

from national to local, and does a good job of finding the<br />

right people with the appropriate skill sets to make his<br />

vision come to life,” explains Deborah L. Edberg, MD,<br />

assistant professor of family and community medicine.<br />

“He’s an inspirational leader who sees people’s strengths—<br />

some they haven’t even identified themselves. He wants<br />

people to succeed and that’s refreshing.”<br />

She speaks from experience. In 2007 Dr. Robertson<br />

recruited her to the former Evanston <strong>Northwestern</strong><br />

Healthcare, where she became associate residency program<br />

director. In 2009 Dr. Robertson recruited Dr. Edberg to<br />

<strong>Northwestern</strong> to serve as program director for Feinberg’s<br />

new family medicine residency. But first, she had to help<br />

develop it. “He called me with a ‘crazy’ idea about starting<br />

a program from scratch,” laughs Dr. Edberg. “I was hesitant<br />

but also excited about all of the amazing things we<br />

could accomplish. If anybody could make this happen,<br />

Russ was the one to do it.”<br />

One of only some 20 training programs in the country<br />

located in a Federally Qualified Health Center (FQHC)<br />

and affiliated with a university, it provides family medicine<br />

residents with community-based experience in underserved<br />

areas. Early on, Dr. Robertson recognized the<br />

impact physician shortages have on vulnerable populations.<br />

So he began exploring a new educational model for<br />

training family physicians while the Feinberg School’s<br />

family medicine residency was still based at Glenbrook<br />

Hospital. He quickly found a receptive audience in<br />

medical school leaders who were open to deepening and<br />

broadening the institution’s community engagement.<br />

In 2007 Dr. Robertson started searching for a partner.<br />

He explains, “As we looked at hospitals to work with there<br />

were several necessary criteria: it had to be helping under-<br />

wardroundsonline.com 11


To read more about medical<br />

student global health experiences,<br />

visit <strong>Ward</strong><strong>Rounds</strong>Online.com.<br />

served patients, be reasonably accessible from our Chicago<br />

campus, and be eager to become a teaching institution.”<br />

The decision to approach Norwegian American Hospital<br />

grew out of a conversation with Mark Loafman, MD,<br />

MPH, one of Dr. Robertson’s first faculty recruits and the<br />

chief clinical integration officer at Norwegian. It became<br />

apparent to them that a partnership would be a win-win<br />

for both organizations.<br />

“Norwegian American’s patient population is medically<br />

underserved, and Erie Family Health Center’s [an<br />

FQHC] Humboldt Park office was only a few blocks<br />

away,” says Robertson. “In addition, Erie has a long history<br />

of collaboration with the medical school, and <strong>Northwestern</strong><br />

Memorial Hospital Corporation has been<br />

providing Erie with financial support to maintain their<br />

clinical presence there.” Norwegian also shared the risk of<br />

starting a new training program and sealed its commitment<br />

to becoming part of <strong>Northwestern</strong>’s educational community:<br />

the hospital will be contributing $250,000 annually, in<br />

addition to providing graduate medical education funding.<br />

Adds Dr. Loafman, “We all benefit from the collaborative<br />

relationships that have evolved. These partnerships<br />

will change the health care landscape, opening new doors<br />

for <strong>Northwestern</strong> to connect with and help transform the<br />

Humboldt Park community.”<br />

The new three-year residency not only offers a rich<br />

environment for clinical training in diverse inpatient and<br />

outpatient settings but also affords a focus on research and<br />

leadership training. It will expose residents to programs<br />

that provide a full spectrum of community health issues,<br />

such as maternity care, HIV programs, and elder care.<br />

Three quarters of Erie’s patients speak Spanish, so the new<br />

trainees will begin learning the language through a monthlong<br />

immersion program.<br />

Approved late last year by the Accreditation Council<br />

for Graduate Medical Education (ACGME) Residency<br />

Review Committee, the program filled all of its eight spots<br />

during this year’s Match. <strong>Northwestern</strong>’s first class of family<br />

medicine residents will begin their training in July.<br />

The AAMC and its members have embarked on their own<br />

strategy to avoid a physician shortage. Among its solutions,<br />

the organization supports the increased use of non-physician<br />

health care professionals such as physician assistants—<br />

and so has <strong>Northwestern</strong> in a big way. In early June, the<br />

Feinberg School of Medicine will welcome 30 students to<br />

its new 24-month PA program. Serving as the program’s<br />

academic home, the Department of Family and Community<br />

Medicine also houses classroom and training space in<br />

its Abbott Hall offices for these new students.<br />

Dr. Robertson credits former medical school Dean<br />

Lewis Landsberg with initiating the PA program at <strong>Northwestern</strong>.<br />

An alumnus and former faculty member at Yale<br />

<strong>University</strong>’s School of Medicine, Dr. Landsberg had watched<br />

physician assistants and PA students interacting with faculty<br />

members and students at his alma mater. He wondered why<br />

<strong>Northwestern</strong> didn’t have a similar program.<br />

“I got wind of his idea to create a program at Feinberg<br />

and helped lay the initial groundwork,” Robertson recalls.<br />

“Our new PA program adds to the portfolio of individuals<br />

that we will be training to become health care providers.<br />

At the same time, we will introduce medical students to<br />

more contemporary models of care that rely on mid-level<br />

providers and their contributions to interdisciplinary health<br />

care teams.”<br />

The plan calls for budding physician assistants and<br />

physicians to learn together and from each other in classroom<br />

and small group discussions that already exist in the<br />

medical school curriculum. Topics such as bioethics, economics,<br />

and organization of medicine could provide common<br />

ground to explore their future working relationships<br />

and understand how each group may have differing yet<br />

complementary approaches to patient care.<br />

“One of Feinberg School’s main competencies focuses<br />

on system awareness and team-based care,” says James A.<br />

Van Rhee, PA program director and associate professor of<br />

family medicine and community medicine. “It’s difficult for<br />

students to achieve this competency if they are only<br />

exposed to working with similar students. If we can add a<br />

different group of learners, with different life experiences<br />

and future responsibilities to the mix, it may help to enrich,<br />

enliven, and bring new ideas to discussions.”<br />

By law, physician assistants must work as part of a team<br />

with supervising physicians. While medical students will<br />

12 ward rounds summer 2010


enefit from the perspective of their health care paraprofessional<br />

colleagues, <strong>Northwestern</strong>’s first crop of PA students<br />

will gain an early appreciation of the challenges physicians<br />

face. Remarks Van Rhee, “Our PA students will not need to<br />

wait until the clinical rotations of their second year to come<br />

in contact with physicians. We will start integrating the two<br />

groups now.”<br />

Dr. Robertson recounts how he had just stepped out of his<br />

car, after a two-hour drive down a bumpy road to a Mayan<br />

village near the Guatemala-Belize border in Central America.<br />

A frantic man approached: his pregnant wife was in<br />

labor in a nearby thatched-roof hut with dirt floors. Dr.<br />

Robertson entered the simple home to find a woman lying<br />

on an elevated wood frame bed cushioned with cardboard.<br />

The baby had a compound presentation with its hand next<br />

to its head, putting the mother at risk for vaginal tearing.<br />

Using his satellite phone, Robertson reached out to<br />

Sherman Elias, MD, chairman of the medical school’s obstetrics<br />

and gynecology department. His advice? An emergency<br />

C-section and preferably performed in a hospital. Dr. Robertson<br />

promptly loaded the woman in a car and off they went<br />

to the nearest medical facility. The woman and baby survived,<br />

and Dr. Robertson once again learned that practicing global<br />

medicine means to expect the unexpected.<br />

If the United States potentially faces a severe physician<br />

shortage, especially critical in rural and underserved urban<br />

locations, then imagine what underdeveloped and impoverished<br />

areas of the world face every day. As board president<br />

of Hillside Healthcare International, a health clinic in Punta<br />

Gorda, Belize, Robertson has been committed to providing<br />

global health services—both immediate and sustainable—<br />

since his first volunteer stint at the clinic in 2001. He says,<br />

“It was a transformative experience. We take for granted so<br />

much of what we have in our country.”<br />

Dr. Robertson has used his expertise to foster Hillside’s<br />

mission to provide inexpensive medical services and<br />

valuable clinical experiences for medical students and other<br />

allied health care students from the U.S. and abroad. Traveling<br />

to Belize at least once a year, he serves as faculty supervisor<br />

for the organization’s clinical education program.<br />

This former faculty member at the Medical College of<br />

Wisconsin brought his personal interest and acquired skills<br />

in international medicine to his position at <strong>Northwestern</strong>,<br />

where the Department of Family and Community Medicine<br />

soon began developing clinical global medicine opportunities<br />

for medical students and residents. Dr. Robertson is<br />

now the associate director for global education within the<br />

Feinberg School of Medicine’s Center for Global Health.<br />

Among many educational initiatives, he plans to create a<br />

series of courses that better prepare students for some of<br />

the surprises they will encounter in international and<br />

under-resourced settings.<br />

Interestingly, Dr. Robertson’s efforts in boosting this<br />

nation’s supply of primary care providers have a global and<br />

a local connection. Several years ago, he shared data showing<br />

a weak but real connection about medical students with<br />

international experiences being more likely to become primary<br />

care physicians with Robert J. Havey, MD ’80, GME<br />

’84. Dr. Havey, who practices with Chicago Lake Shore<br />

Medical Associates, had noticed a disturbing recruiting<br />

trend that was affecting his clinical practice: a shortage of<br />

generalist physicians. As a result of their conversation, Dr.<br />

Havey and his associates raised more than $250,000 for the<br />

Center for Global Health in 2009 to make it financially viable<br />

for <strong>Northwestern</strong> medical students to travel to underserved<br />

areas around the world to expand their education.<br />

Although Dr. Robertson transitioned from being a<br />

teacher to becoming a physician some 35 years ago, he has<br />

never stopped being the consummate educator. He uses the<br />

power of education to address health care challenges that<br />

affect us close to home and across the globe, while doing<br />

what he loves best: being a primary health care provider.<br />

wardroundsonline.com 13


Mr. Roboto<br />

Dr. Jules Dewald and his team look to<br />

change how physical therapists approach<br />

the treatment of movement disorders<br />

through an innovative use of robotics.<br />

By Devon McPhee<br />

14 ward rounds summer 2010


If you were a study participant in the lab of Jules<br />

Dewald, PT, PhD, chair of the Department of<br />

Physical Therapy and Human Movement Sciences<br />

(NUPTHMS), you might find yourself with an arm floating<br />

in virtual anti-gravity, or pushing through simulated<br />

viscose matter, or repeating an exercise that replicates the<br />

action of lifting a gallon of milk, all while attached to a<br />

high-definition electroencephalograph (EEG) recorder. By<br />

studying these movements and mapping the accompanying<br />

brain patterns, Dewald and his team hope to unlock the<br />

basic science behind movement disorders — specifically<br />

those found in stroke and cerebral palsy patients — and<br />

develop more targeted therapies to treat them. Reaching<br />

this goal, Dewald says, requires an innovative use of robotics<br />

in human movement science.<br />

“Robotics has been used in research since the early<br />

’90s, but we are among the first to use it to study the science<br />

behind movement disorders,” explains Dewald, associate<br />

professor of physical therapy and human movement<br />

sciences, biomedical engineering, and physical medicine and<br />

rehabilitation at <strong>Northwestern</strong> <strong>University</strong>. “Once we<br />

understand the science, we can use these robots for therapy.”<br />

Dewald’s science-based approach to developing therapies<br />

for movement disorders diverges from the way rehabilitative<br />

treatments have traditionally been developed.<br />

“The way physical therapy currently works is through<br />

qualitative evaluation — trial<br />

and error,” he says. “Usually,<br />

therapies are developed before<br />

we understand the underlying<br />

mechanisms of the movement<br />

disorder. Our approach is to<br />

first understand the mechanisms,<br />

and then develop therapies<br />

based on that under -<br />

standing.”<br />

Getting from point A (figuring<br />

out the science) to point<br />

B (more targeted therapies)<br />

requires a hefty investment of<br />

time, since researchers must<br />

break a movement into distinct<br />

pieces and understand<br />

each one to get at the whole.<br />

“It’s literally like taking<br />

Humpty Dumpty apart and<br />

putting him back together<br />

again,” he explains.<br />

The slow pace of understanding<br />

the mechanisms<br />

underlying movement impairment<br />

following brain injury is<br />

likely one of the main reasons<br />

this approach to rehabilitation<br />

science remains novel, Dewald says, but he has faith that<br />

once clinicians see the results from science-based therapies,<br />

they will become converts.<br />

“The best way to convince rehabilitation clinicians<br />

about the merits of reductionist scientific inquiry is to<br />

demonstrate the results you can obtain,” he says.<br />

A team of researchers aids Dewald in his pursuits,<br />

including two assistant research professors of physical<br />

therapy and human movement sciences, Ana Maria Acosta,<br />

PhD, and Jun Yao, PhD; an instructor in physical therapy<br />

and human movement sciences, Michael Ellis, MPT, DPT;<br />

a research associate in biomechatronical engineering from<br />

the Netherlands, Arno Stienen, PhD; five DPT/PhD in<br />

biomedical engineering students, Theresa Sukal Moulton,<br />

DPT, Christa Nelson, Laura Miller, Rachel Hawe, and<br />

Lindsay Garmirian; three PhD students, Daniel Krainak,<br />

MS, Jacob McPherson, MS, and Natalia Sanchez; and three<br />

research physical therapists, Carolina Carmona, DPT,<br />

Donna Hurley, DPT, and Justin Drogos, DPT.<br />

Taking a peek inside the Dewald lab, one could easily<br />

draw comparisons to a strength training room at the gym<br />

— except the machines here build knowledge instead of<br />

muscle. Three large machines have customized robotic<br />

arms that measure movement or create “haptic” or virtual<br />

environments for study subjects to operate in, and serve<br />

as important tools for the research being conducted.<br />

In May, Dewald<br />

added a fourth robot to<br />

his collection, which he<br />

calls the “Rolls Royce” of<br />

upper extremity robotics.<br />

The new device, developed<br />

and built with a<br />

quarter-million dollar<br />

grant from the National<br />

Institutes of Health<br />

(NIH), will allow for a<br />

much larger work space<br />

on which to conduct<br />

studies and has the added<br />

ability to perturb the arm<br />

— mimicking the action<br />

of an arm getting pushed<br />

out of the way or the<br />

jerking of a steering<br />

wheel — to add to the<br />

complexity and realworld<br />

application of the<br />

lab’s studies. The device<br />

also gives participants the<br />

ability not only to move<br />

The ACT-2D measures the effect of abnormal<br />

shoulder/elbow joint torque coupling on the<br />

expression of spasticity in stroke survivors.<br />

their arms forward but<br />

also up and down.<br />

wardroundsonline.com 15


Laterality Index values for both control (pink)<br />

and stroke (green) groups across movement<br />

tasks. Positive values indicate more contralateral<br />

hemisphere activity, while negative values<br />

indicate more ipsilateral hemisphere activity.<br />

A Sequence of Studies<br />

For the past 20 years, Dewald has studied one of the<br />

most stereotypical movement disorders following a<br />

stroke, abnormal movement coordination of the shoulder<br />

and elbow. For a stroke patient with this disability,<br />

everyday tasks such as putting on a coat or turning a car<br />

radio dial become difficult because the more she lifts the<br />

affected arm at the shoulder, the more her elbow flexes.<br />

To begin decoding this impairment, Dewald developed<br />

two studies that quantified the mechanics of the<br />

shoulder-elbow system in stroke patients.<br />

One study asked participants to reach for a target,<br />

first with the arm supported by an air-bearing device,<br />

then without support. Dewald and his colleagues at the<br />

Rehabilitation Institute of Chicago found that individuals<br />

with severe limitations could reach the target fairly<br />

accurately when supported but not when unsupported.<br />

This occurs, Dewald says, because a support provides a<br />

surface for the arm to push down on, eliminating the<br />

need for the shoulder to lift up and allowing the elbow<br />

to extend as normal.<br />

The second study involved evaluating the isometric<br />

movement of the shoulder and elbow using a load cell, a<br />

mechanical device that measures the forces acting on it.<br />

Participants’ forearms were placed on a metal plate<br />

attached to the load cell. Hands, wrists, and half of their<br />

forearms were set in a cast to restrict movement and to<br />

hold the arm in a set position. The subjects then lifted<br />

up their arm or flexed their elbow, and the load cell<br />

measured what was happening. At the same time,<br />

patients were attached to a high-resolution EEG device<br />

16 ward rounds summer 2010<br />

(using 160 electrodes), recording which parts of the<br />

brain were activated.<br />

Data from the second study helped Dewald determine<br />

two things about stroke patients. First, coupled<br />

with information from the first study, it presented a<br />

quantifiable definition of how the shoulder and elbow<br />

worked together. Second, by pinpointing the areas in the<br />

brain that were activated during shoulder and elbow<br />

activity, Dewald and his team could then compare the<br />

patterns of stroke and non-stroke subjects. They found<br />

that non-stroke patients had more succinct areas of activation,<br />

while stroke patients had more overlap. In other<br />

words, stroke patients were asking their brains to do the<br />

same job with fewer neurons.<br />

Developing a Treatment<br />

Therapeutic benefits of the research were observed in a<br />

small study of seven individuals with chronic moderate<br />

to severe stroke. First, the researchers measured the<br />

work area (ability to extend in a circular motion) of participants<br />

using a range of limb weights generated by the<br />

ACT-3D haptic robot. They found that as the limb<br />

became heavier, the participant’s work space became<br />

smaller. Next, subjects conducted reaching exercises<br />

three times a week over the course of eight weeks.<br />

Throughout the study, if a subject was able to consistently<br />

reach at least 90 percent toward the target, the<br />

weight of the limb was increased by 25 percent.<br />

After eight weeks, each participant’s work area was<br />

once again measured. All patients saw, at minimum, a<br />

20 percent increase. Dewald attributes this improvement<br />

to the plasticity of the brain: it had learned how to use its<br />

remaining neural pathways more efficiently, as opposed<br />

to creating new ones in that short time span.<br />

“It’s like when the express lanes on the highway<br />

open up,” Dewald explains. “No new road is built, but<br />

you make better use of what exists.”<br />

Brain images taken during the study bolster<br />

Dewald’s hypothesis. Those taken at the beginning of<br />

the session showed that participants used both ipsilateral<br />

and contralateral sides of the brain as they reached with<br />

the affected limb. After eight weeks, activity had shifted<br />

primarily to the contralateral side which, in non-stroke<br />

individuals, controls the entire movement.<br />

Current Projects<br />

With the basic mechanics laid out, the team has now<br />

begun the process of unraveling how a stroke patient’s<br />

shoulder, elbow, and brain operate in real-world situations.<br />

Combining robotics with virtual reality, a new


study explores reaching movements in a variety of environments,<br />

including across a hard surface, through<br />

sticky matter, and in anti-gravity.<br />

Going one body part further with stroke research,<br />

the lab has also started looking at hand disabilities. The<br />

complexity of the hand makes it one of the most highly<br />

affected areas post-stroke, Dewald says, because a big<br />

part of the cortical loss occurs to parts of the brain that<br />

control it, which also makes it one of the most difficult<br />

systems to decode. Current work has shown promise in<br />

the use of neuromuscular electrical stimulation of wrist<br />

and hand muscles to help subjects regain the ability to<br />

open and close their hand, as well as to grasp objects.<br />

The lab began its initial work on movement disorders<br />

in children with cerebral palsy about five years ago.<br />

That effort has accelerated over the past two years<br />

thanks to an R01 grant from the NIH. These funds will<br />

support a study that hopes to determine how the muscles<br />

in children with cerebral palsy work together and a<br />

second study that will challenge the mobility of subjects<br />

with reaching exercises.<br />

Finally, an extension of the lab’s international reach<br />

is set to occur this year when research associate Arno<br />

Stienen, PhD, returns to the Netherlands and the <strong>University</strong><br />

of Twente. Stienen will retain an adjunct assistant<br />

professorship at <strong>Northwestern</strong>, and facilitate a fluid collaboration<br />

between the two schools.<br />

“Under our collaboration, we will be taking the<br />

[robotics] wish list from this department and seeing<br />

what we think is possible to build in the Netherlands,”<br />

Arno explains.<br />

Research and Technology<br />

Dewald attributes his lab’s success to the strong support<br />

he has received across the university, saying that Feinberg’s<br />

focus on systems research and close collaboration<br />

with the Robert R. McCormick School of Engineering<br />

and Applied Science was what initially drew him to the<br />

school in 1988. Today, as chair of NUPTHMS, Dewald<br />

has made it a point to incorporate research and general<br />

engineering knowledge into the DPT curriculum.<br />

The department launched a new curriculum in 2009<br />

that includes a technology-related course during the<br />

final trimester of the third year, and all DPT students<br />

spend at least a year and a half conducting research.<br />

Additionally, instead of separating clinical and basic<br />

science courses, the new curriculum gives students<br />

exposure to the two in parallel, making the relevance of<br />

basic scientific knowledge to clinical cases immediately<br />

apparent and allowing DPT students to better retain this<br />

information for their future careers, Dewald says.<br />

Two new degree offerings (both launched during the<br />

2009-10 academic year) also focus on the combination<br />

of movement science and engineering or research.<br />

Students in the dual-degree DPT/PhD in engineering<br />

program enroll in one of three engineering tracks —<br />

biomedical, mechanical, or electrical engineering and<br />

computer science — as well as in the DPT program.<br />

These students take DPT courses with those in the<br />

traditional program, further exposing all students to<br />

engineering and science principles.<br />

The existing PhD in neuroscience now offers students<br />

the option to specialize in movement and rehabilitation<br />

science. The NUIN-MRS program prepares<br />

graduates for work in neurobiology-related rehabilitation<br />

research, specifically in the study of the brain and<br />

the neurobiological mechanisms underlying movement<br />

disorders. The degree will generate systems neuro-scientists<br />

with strong backgrounds in technology and data<br />

analysis for the rehabilitation sciences, Dewald says.<br />

Overall, the department chair says he still expects<br />

the majority of NUPTHMS graduates to become clinicians,<br />

adding that he believes Feinberg DPT students’<br />

early exposure to research and technology during medical<br />

school — something that few other institutions offer<br />

— will advance the treatment of movement disorders.<br />

“Our students will open doors and be our ambassadors<br />

to get newly developed, device-based therapies<br />

into clinical practice,” he says.<br />

Jules<br />

Dewald, PT,<br />

PhD, chairs<br />

the Department<br />

of<br />

Physical<br />

Therapy<br />

and Human<br />

Movement<br />

Sciences<br />

at <strong>Northwestern</strong><br />

<strong>University</strong>.<br />

For more information about cerebral<br />

palsy research in the NUPTHMS<br />

department,<br />

visit <strong>Ward</strong><strong>Rounds</strong>Online.com.<br />

wardroundsonline.com 17


alumni weekend 2010<br />

a weekend<br />

to remember<br />

1<br />

experience the energy…and see what the buzz is about.<br />

These words from the 2010 Alumni Weekend materials hinted at the fun and excitement that awaited alumni who<br />

signed up for the weekend April 9-11. And they didn’t overpromise. With beautiful spring weather in Chicago,<br />

delicious dinners with lovely desserts, and plenty of time to visit with classmates and learn about what is new at their<br />

alma mater, the 568 guests (alumni, faculty, staff, and students) dedicated themselves to the weekend’s activities.<br />

Forty-one members of the <strong>Northwestern</strong> <strong>University</strong> School of Medicine’s Class of 1960 (see photo on page 20)<br />

attended at least some of the weekend’s events. The Department of Physical Therapy and Human Movement<br />

Sciences joined in the celebration at the Reunion Ball with two of its own 50-year graduates in attendance.<br />

As Roger Hurwitz, MD’60, told Ginny Darakjian, assistant dean of Alumni Relations, at the Reunion Ball on<br />

Saturday, “I have looked forward to this 50-year class reunion for so long and I am enjoying it so much that I’m quite<br />

sad that it is nearly over.” There were 30 events over 36 whirlwind hours on Friday and Saturday. Among the activities<br />

enjoyed by alumni were: the State of the School from Dean J. Larry Jameson, vice president for medical affairs and<br />

Lewis Landsberg Dean, and Jeffrey C. Miller, vice dean and chief operating officer of the medical school, who<br />

retired from his position in June.<br />

There was a medical school history tour by Ron Sims, special collections librarian from the Galter Health Sciences<br />

Library, and a lecture, as well as a CME program, class dinners, receptions, luncheons and Jeff Miller’s talk<br />

about health care reform, a scholarship brunch, and the Reunion Ball, a black-tie affair attended by a host of<br />

alumni, along with Dr. Lewis Landsberg, dean emeritus of the medical school, <strong>Northwestern</strong> <strong>University</strong> President<br />

Morton Schapiro, and <strong>Northwestern</strong> Memorial Hospital CEO Dean M. Harrison.<br />

if you are interested in viewing<br />

the state of the school or jeff<br />

miller’s talk, “health care reform:<br />

what happened?”,<br />

visit wardroundsonline.com.<br />

18 ward rounds summer 2010


1. Bruce Henschen, a second-year medical student, accompanies Drs. Dick Bryan,<br />

Ronald Semerdjian, and Thomas Soper, Class of 1960, on a tour. 2. Medical students<br />

attended the Daniel Hale Williams Award dinner honoring Joseph DiCara, MD ’86.<br />

3. <strong>Northwestern</strong> <strong>University</strong> President Morton Schapiro addressed Reunion Ball<br />

attendees. 4. Melvin Gerbie, MD ’60, received the 2010 Dean’s Award. 5. Dean J.<br />

Larry Jameson presents the State of the School to alumni. 6. Annette Barnes, MD ’87,<br />

(left) enjoys the weekend’s activities along with Carla Hightower, MD ’87, GME ’91, and<br />

Ann Hightower, MD ’85. 7. During a dinner on Friday night, the Class of 1985 gathered<br />

to share fond memories. 8. Drs. Nancy Schriver Furey and Elsie Steelberg returned<br />

for their 50-year reunion.<br />

2<br />

3<br />

5<br />

4<br />

6<br />

7<br />

8


Class of 1960<br />

There were 33 graduates from the Class of 1960 who<br />

attended a Saturday luncheon at the Ritz-Carlton as part of<br />

Alumni Weekend events. They included:<br />

Front row: Dick Bryan, Herb Niestat, Ira Bernstein, Earl<br />

Bracker, Warren Furey, Nancy Schriver Furey, Joseph<br />

Libretti, Melvin Gerbie, Ronald Semerdjian, Cyril Ramer,<br />

Elsie Steelberg. Second row: Bob Gale, Roger Hurwitz,<br />

Christopher Curran, Lawrence Sturman, Eugene Kostiuk,<br />

James Meltzer, Fred Gill, Henry Roenigk, Robert Linden,<br />

Mike Serio, Courtney Anthony, James Grissom. Back row:<br />

Tom Fiene, Ira Halper, Barry Ramer, Jim Simonson, Gerald<br />

Kern, Maurice Barancik, Thomas Braun, James Bellenger,<br />

Ed Alexander, Albert Newcomer.<br />

16<br />

15<br />

To view more photos from<br />

Alumni Weekend 2010,<br />

visit <strong>Ward</strong><strong>Rounds</strong>Online.com.<br />

20 ward rounds summer 2010


9. Bruce Scharschmidt, MD ’70, received the Distinguished Alumni Award.<br />

10. Archana Lal-Tabak, MD ’84, and Theresa Yuschok, MD ’85, at the Daniel<br />

Hale Williams Award dinner. 11. James A. Hill, MD ’74, GME ’79, and wife<br />

Sandra at the Reunion Ball. 12. Attendees touched a simulation model during<br />

their tour of the new Simulation Technology and Immersive Learning Center.<br />

13. Bill Healey, coordinator of PT alumni affairs, danced with 1st-year PT<br />

students Sarah Kraushar (left) and Christine Marchinski at the Reunion<br />

Ball. 14. Lindsay Huurman, Christine Kelly, James Kelly, MD ’73, and Walt<br />

Huurman, MD ’62, connected at the Nathan Smith Davis Club reception.<br />

15. Jeanie and Tim Sullivan, MD ’64, put on<br />

their dancing shoes at the Ball. 16. Warren<br />

Furey, MD ’60, received the 2010 Medical 10<br />

School Service Award. 17. Jeff Miller presents<br />

“Health Care Reform: What Happened?”<br />

during a luncheon at the Ritz-Carlton.<br />

18. Hal Oloffson and Ruben Shehigian,<br />

both 50-year PT graduates, represented<br />

their program at the Reunion Ball.<br />

9<br />

11<br />

13<br />

14<br />

12<br />

17<br />

18<br />

wardroundsonline.com 21


President’s Message<br />

Attending Alumni Weekend this<br />

year provided the full spectrum of<br />

experience for me. Here are snippets<br />

of my observations:<br />

• The CME discussion featured<br />

advances in imaging. Lee Rogers,<br />

MD ’59, former chair of radiology<br />

at <strong>Northwestern</strong>, described his relationship<br />

to Nobel prizewinning Sir<br />

Godfrey Hounsfield and his creation<br />

of cross-sectional imaging — the “CAT Scan.” (The<br />

first one appeared on campus while I was a medical clerk at<br />

Wesley.) Dr. Rogers noted that “this machine didn’t come<br />

with instructions.” It is this sense of novelty that permeates<br />

the medical school campus.<br />

• The students I met had the same sense of enthusiasm that I<br />

remember in my classmates on the first day of anatomy lab.<br />

Yes, they seemed a bit more sophisticated, but certainly not<br />

jaded. A mentorship luncheon was attended by more than 80<br />

students who asked alumni insightful questions about their<br />

chosen specialty. At another luncheon, I heard the stories of<br />

talented students who were able to attend <strong>Northwestern</strong><br />

only because of scholarship funding. Their experiences<br />

confirmed my sense that our profession is in good hands for<br />

the next generation.<br />

Multiple Themes Surfaced at<br />

Alumni National Board Meeting<br />

Change, collaboration, scholarship … these were a few of the<br />

topics covered during the bi-annual Alumni National Board<br />

meeting on Saturday, April 10. Vice Dean Jeff Miller spoke about<br />

new and continuing efforts underway at the medical school, and<br />

Bruce Scharschmidt, MD ’70, shared progress on the Nathan<br />

Smith Davis Club Scholarship efforts.<br />

Jeff Miller, who retired from his medical school position in<br />

June, represented Dean J. Larry Jameson (who missed the event<br />

for the first time due to a conflict with a Council of Deans meeting)<br />

to provide an overview of the school’s progress. Change was<br />

the theme of his presentation, with curriculum reform, One<br />

<strong>Northwestern</strong>, <strong>Northwestern</strong> Medicine, and NuVentions cited as<br />

programs to help elevate education and keep collaboration thriving<br />

at the medical school.<br />

“We have to dramatically change what we do,” said the<br />

school’s chief operating officer. “Medical schools are always<br />

changing curriculum and faculty tracks; we’re doing both at the<br />

same time. Beginning very early in the new curriculum, our students<br />

will be introduced to clinical activity.”<br />

• Our alumni dinner featured Michael Barratt, MD ’85,<br />

GME ’89 who brought a medical school sesquicentennial<br />

banner back from his trip to the International Space Station.<br />

Newly inaugurated <strong>University</strong> President Morton Schapiro<br />

delighted the audience with his disarming humor.<br />

• Back at the educational session, an imaging technique that<br />

differentiates the presence of uric acid crystals within the<br />

synovial fluid was demonstrated in the evaluation of a<br />

patient with acute podagra. The look on the faces of the<br />

Class of 1960 said it all — “I don’t need a fancy test to treat<br />

THAT!” It reminded me that in our enthusiasm for technology,<br />

experience and clinical judgment should always<br />

have their place.<br />

All the best,<br />

Above: Jeff Miller, the medical school’s<br />

chief operating officer, provided an<br />

overview of the many activities that are<br />

happening in and around the medical<br />

school at the board meeting. Right:<br />

Steven Azuma, MD ’70, thanks Ginny<br />

Darakjian, assistant dean of alumni<br />

relations, for the lovely gift he received<br />

for his years of service on the medical<br />

school’s Alumni National Board.<br />

F. Douglas Carr, MD ’78, MMM<br />

President, Alumni Association


ALUMni nEWS<br />

Jay Sarthy, Brittne Halford, and Miguel<br />

Visbal from the Class of 2013 are the<br />

recipients of the inaugural Nathan Smith<br />

Davis Club Scholarships. They will receive<br />

$12,500 per year for four years. The scholarships<br />

are based on merit and need.<br />

Alumni donors and scholarship recipients<br />

met during a brunch in the Lurie Atrium<br />

n Sunday, April 11, bringing Alumni<br />

Weekend events to a close.<br />

In its third year, NuVentions, a program created by students<br />

in the engineering, law, medical and business schools, is enabling<br />

unique team collaborators to develop and commercialize new<br />

medical devices. Along the same vein, One <strong>Northwestern</strong> is the<br />

intersection of medicine and science. With many grants now<br />

involving more than one investigator, students and faculty on<br />

both campuses are learning to break down silos that once existed<br />

between the disparate disciplines, according to Miller.<br />

Continuing the theme of working together, <strong>Northwestern</strong><br />

Medicine is fueling a new spirit of collaboration between the<br />

medical school and <strong>Northwestern</strong> Memorial Hospital in areas<br />

such as finance, IT, communications/marketing, and development.<br />

“This brings the clinical aspects of the enterprise closer<br />

together, creates synergy in research and education, and will help<br />

us derive benefits from each of the parts being engaged in one<br />

another’s mission,” explained Miller. “This doesn’t happen<br />

unless you force it ….”<br />

Bruce Scharschmidt, MD ’70, president of the Nathan Smith<br />

Davis Club, updated the board on the direction of the NSD Club<br />

Scholarships, of which there were three inaugural recipients in<br />

2009, each receiving $12,500 per year for four years. With 160<br />

lifetime club members ($35K cumulative), and 300 to 400 annual<br />

members ($1K or more), approximately 25 percent of alumni<br />

participate. NSD total contributions were $2.9 million in 2009,<br />

enabling the new scholarships for students based on merit and<br />

need. Dr. Scharschmidt noted that things are going well but he<br />

wants to enhance the Club’s visibility. His goal is to establish well<br />

planned, interactive communication channels, keeping messages<br />

short and direct, to share progress and enlist more alumni talent.<br />

Following Dr. Scharschmidt, Julie Melchior, MD ’91,<br />

reported on participation in the student mentoring event that<br />

occurred on Friday, April 9. First-, second-, third-, and a few<br />

fourth-year students took advantage of the opportunity to talk<br />

with alumni about their specialized areas of medicine. More than<br />

108 students registered for the event. Fourteen alumni, representing<br />

13 specialties, spent time answering their questions. “Internal<br />

Medicine was the most popular specialty, which has been a<br />

change from the past,” explained Dr. Melchior. Emergency Medicine,<br />

Ear, Nose and Throat, Neurology, and Ophthalmology<br />

were the next most popular areas of interest. Looking to include<br />

as many specialties as possible in future mentoring events, Dr.<br />

Melchior invited other alumni who might be interested in participating<br />

to contact Ginny Darakjian in alumni relations.<br />

The Office of Development recounted two unique events<br />

that occurred earlier in 2010 — in California — held in the homes<br />

of Richard Ferkel, MD ’77 (Los Angeles) and Gene Bauer, MD<br />

’67 (San Francisco). The receptions allowed alumni and current<br />

students to interact with prospective students from the area who<br />

had been accepted to the medical school’s Class of 2014 but had<br />

not yet committed. Dean J. Larry Jameson and Dr. James Schroeder,<br />

senior associate dean for external relations, each attended<br />

one of the events, which were well received by the prospective<br />

student guests, according to development’s Larry Kuhn, senior<br />

associate director for academic initiatives.<br />

In the last order of business, Assistant Dean Ginny Darakjian<br />

thanked outgoing board members for their years of service and<br />

provided each with a gift. Departing members were Steven<br />

Azuma, MD ’70, Laura Mikhail-Malek, MD ’00, GME ’03; Sonja<br />

Boone, MD ’90; and Yvette Cua, MD ’94, GME ’97. New and reelected<br />

board members include: (new) Carla Hightower, MD ’87,<br />

GME ’91; Paul Bonucci, MD ’96; Kerry Humes, MD ’90; (reelected)<br />

Carlos Flores, MD ’78; Alan Micco, MD ’87; Julie Melchior,<br />

MD ’91.<br />

The next National Alumni<br />

Board meeting will be<br />

Saturday, October 2, at 2 pm.<br />

wardroundsonline.com 23


ALUMni nEWS<br />

ALUMni proFILE<br />

Being a Good Samaritan<br />

50 million people<br />

in the U.S. are without health insurance<br />

8 out of 10 people<br />

come from working families<br />

18,000 people in the U.S.<br />

die each year because they don’t have health insurance.<br />

These are some of the statistics Kerry Humes, MD ’90, was concerned<br />

about as she saw patients without health insurance in her<br />

private practice. She decided to do something to make a difference<br />

for those in her community who were working hard but<br />

unable to afford high insurance premiums and unable to get government<br />

assistance. Along with two nurse practitioners in<br />

Moline, Ill., she devised a plan to open a free medical clinic to<br />

help some of the 50,000 uninsured people in the Quad Cities<br />

(once four, now five communities in Illinois and<br />

Iowa). Eighty percent are working in low-paying<br />

jobs and falling through the “cracks of the health<br />

care system.”<br />

Thus was born the Good Samaritan Free Clinic,<br />

which first operated out of a church in May 2007 and<br />

then moved to a bigger facility in 2008 when space<br />

was donated by the Sedona Group, a temporary<br />

agency in the area. Open two half days each week,<br />

they have treated approximately 1,800 people, and<br />

have recently had to limit the number of patients they<br />

can see. Their goals are to provide free medical care<br />

through an all-volunteer staff and to provide free medications,<br />

or assistance in obtaining them at a muchreduced<br />

price.<br />

“With more than 70 people, we have plenty of volunteers,”<br />

says Humes, the clinic’s volunteer director, to <strong>Northwestern</strong><br />

medical students during her presentation in February. “We’ve<br />

even had to tell people that we’ll call when we need them.”<br />

Receptionists, nurses, and doctors are all giving of their free time.<br />

Each volunteer is asked to be there at least once a month and<br />

many are there consistently every week. “We have a number of<br />

retired individuals and stay-at-home mothers who help us out<br />

during the day and working health care professionals who assist<br />

on our evening shift,” explains Humes, who left her medical<br />

practice in 2004 to spend more time with her three young children<br />

and take up this cause. “The clinic is a wonderful place<br />

because all of the volunteers want to be there.”<br />

Although she was armed with a medical degree and plenty of<br />

practical experience, without a background in business, fundraising,<br />

or law, there was much to learn about opening a free clinic<br />

and finding the support to remain viable. “It took awhile to get<br />

the pieces together,” she explains. “There were a lot of things we<br />

needed to know to make it happen.” To learn how to run operations,<br />

the three founders visited a number of free clinics in Illinois<br />

and Iowa.<br />

“We realized early on that the hospital had to buy in to the<br />

process — we needed their support to make this work,” she<br />

admits. “For a hospital, it’s clearly a positive.” Trinity Hospital,<br />

where both Kerry’s primary care and her husband’s (Tim Humes,<br />

MD ’89) radiology practices were connected, realized the benefits<br />

and gave an initial grant of $40,000 to start the clinic off on<br />

solid footing.<br />

“Because we were an unknown entity, once we had Trinity’s<br />

support, it was easier to get others to help us,” Dr. Humes continues.<br />

“The big thing was to find an appropriate space that was<br />

free.” One of the clinic’s founders attended Faith Lutheran<br />

Church, so they began operations in its education wing, which<br />

they were told they could use as long as they needed. Sharing this<br />

space with other programs, they had to set up and tear down<br />

equipment each day. Later on, one of the clinic’s generous board<br />

members donated an 18,000-square-foot<br />

space, where they created four exam<br />

rooms, a waiting area, a doctor space,<br />

and a nurses’ station.<br />

In addition to the hospital, pharmaceutical<br />

companies, other health care<br />

organizations, and local foundations<br />

were willing to provide support. “I’ve<br />

been surprised at the generosity we’ve<br />

experienced,” she explains. “All of our<br />

furniture and equipment has been<br />

Top Left: Kerry Klegar, MD ’90, on her medical school graduation<br />

day. Above: Tim Humes and Kerry Klegar during their medical<br />

school years.<br />

24 ward rounds spring 2010


ALUMni nEWS<br />

Dr. Kerry Humes (center), with Good Samaritan Free Clinic<br />

co-founders Regina Bollaert (left) and Debi Becht.<br />

donated. A local lab has been evaluating our labs at no charge. My<br />

husband’s practice takes X-rays and reads them for free. And<br />

whenever we’ve had to admit a patient, Trinity has written off<br />

those expenses. It’s totaled approximately $80,000, but we’ve<br />

saved the hospital close to $2 million because we’re keeping many<br />

of these people out of the ER.”<br />

Along with free doctor visits, patients get help obtaining free<br />

or reduced-price medications to keep health issues like diabetes,<br />

hypertension, and asthma in check. Chain drugstores like Target,<br />

Walmart, and Walgreens offer many generic medications for $4.<br />

And many pharmaceutical companies offer patient assistance<br />

programs, if you submit the required forms. One volunteer, who<br />

recently became the clinic’s only paid employee, helps patients fill<br />

out and send these forms, obtaining $150,000 worth of medication<br />

at no cost in one year. And for any medications that aren’t<br />

provided elsewhere, the local hospital will supply them at a $5<br />

cost to the patient, charging the clinic the remaining fees.<br />

“If patients take their meds, they’re going to stay out of the<br />

ER and be better off for it,” Humes explains. “Fifty-nine percent<br />

of the uninsured with chronic medical conditions missed at least<br />

one dose of medicine. Of that group, 33 percent visited the ER<br />

for an overnight stay. In Illinois, an overnight stay is $16,000 and<br />

in Iowa, it’s $18,000. It doesn’t take much to see what kind of<br />

an impact the clinic can make.”<br />

Medications are the clinic’s biggest expense. To ensure that<br />

they can help patients pay for the prescriptions they need, Humes<br />

and the other two founders have become grant writers. “I don’t<br />

like asking for money, but it’s for my patients,” the physician<br />

says. Working within their community, they have secured nearly<br />

$200,000 from two fundraisers and a number of grants from private<br />

foundations. “Luckily, we don’t have many expenses<br />

because we operate on a shoestring, so we usually get everything<br />

we ask for.”<br />

One premise of their successful operations is to order only<br />

the diagnostics that are necessary. “I won’t deny my patients<br />

what they need, but I won’t order tests that don’t make sense.<br />

In Illinois, our clinic is protected by the Good Samaritan<br />

Act, which means we don’t have to practice defensive medicine<br />

and can operate without malpractice insurance.” Humes<br />

approves all specialist referrals and expensive procedures.<br />

“This health care model could serve our American system<br />

well and would save us money,” Dr. Humes continues. “The U.S.<br />

orders four times as many CAT scans as other countries at the<br />

same economic level, with no added benefit. And the expectations<br />

of our patients are different — they want to get better and<br />

take care of themselves. They don’t expect a lot of blood work<br />

and extra tests.”<br />

Asked why she started the clinic when she did, Dr. Humes<br />

responds, “It was just the right timing. The hospital where I had<br />

my private practice was phasing out non-employees, my children<br />

were young and I wanted to spend more time with them, and<br />

because my husband has a good job, I was very fortunate to be<br />

able to do this. It’s hard not be intimidated by a project like this,<br />

but I just had to do it.”<br />

Michele M. Weber<br />

Drs. Kerry and Tim Humes with their children (Hannah, Haley and<br />

Charlie) on vacation at Mt. Rushmore.<br />

wardroundsonline.com 25


ALUMni nEWS<br />

Alumni Achievements Recognized at<br />

2010 Reunion Ball<br />

Jeffrey Glassroth, MD, vice dean of Clinical<br />

Academic Affairs, presided as the<br />

master of ceremonies at the 2010 Reunion<br />

Ball, announcing three alumni award<br />

winners who were recognized for their<br />

service to the school, the profession, and<br />

the community.<br />

Joseph DiCara, MD ’86, a pediatric<br />

hospitalist at Prentice Women’s Hospital<br />

in Chicago, received the 2010 Daniel Hale<br />

Williams Award for the Chicago Youth<br />

Program (CYP), which he founded with<br />

fellow medical students in 1984. It began<br />

as a recreational program to keep 40<br />

Cabrini Green kids off the street. Space<br />

was donated by the medical school and<br />

funds were obtained by passing the hat.<br />

During his pediatric residency at Children’s<br />

Memorial, CYP became a nonprofit,<br />

offering many medical students the<br />

opportunity to volunteer in the free clinic.<br />

CYP now includes more than 50 programs<br />

that serve 400-500 youth, preschool<br />

through college, at three Chicago public<br />

housing sites. Six hundred volunteers provide<br />

health care services, injury and pregnancy<br />

prevention, safe recreation, cultural<br />

programs, education, career guidance, and<br />

one-on-one mentoring. For most of its<br />

history, Dr. DiCara has been the volunteer<br />

executive director and has continued his<br />

daily volunteer work.<br />

The 2010 Distinguished Alumni Award was presented to<br />

Bruce Scharschmidt, MD ’70, senior vice president and chief<br />

medical officer at Hyperion Therapeutics, a specialty pharmaceutical<br />

company in South San Francisco. Dr. Scharschmidt has been<br />

active on the Medical Alumni Association national board for the<br />

past six years and is currently serving as president of the Nathan<br />

Smith Davis Club, as well as on the Scientific Advisory Board of<br />

NUCATS, a <strong>Northwestern</strong> organization dedicated to translational<br />

science.<br />

Working with the medical school’s Alumni Relations and<br />

Development groups, he spearheaded the creation of Nathan<br />

Smith Davis Club scholarships for medical students. In November<br />

2009, the first $12,500-per-year grants were awarded based<br />

on both merit and need.<br />

Dr. Melvin Gerbie, MD ’60, professor emeritus of obstetrics<br />

and gynecology, received the 2010 Dean’s Award. A <strong>Northwestern</strong><br />

faculty member since 1967, he has served on various hospital<br />

and university committees. In 1975 Dr. Gerbie founded the<br />

Colposcopy Clinic.<br />

He has been honored for his student and resident education<br />

efforts, including an Outstanding Teacher Award, as well as three<br />

Right: Joseph DiCara, MD ’86, received the Daniel Hale Williams<br />

Award for his continued work with the Chicago Youth<br />

Program, an effort he began during his second year of medical<br />

school. Below: Michael Barratt, MD ’85, GME ’89, returns this<br />

sesquicentennial banner to the medical school during the<br />

Alumni Reunion Ball. He carried the flag in his flight pack<br />

during an International Space Station mission.<br />

resident teaching awards. He has received the Medical School<br />

Service Award twice and in 1990, the <strong>University</strong> recognized his<br />

contributions with the Alumni Service Award. In 1996 he was the<br />

recipient of the Chicago Maternity Center Byford Award from<br />

Prentice. In March 2001, he received the <strong>Northwestern</strong> <strong>University</strong><br />

Alumni Association Merit Award.<br />

Dr. Gerbie is a supportive member and past president of the<br />

<strong>Northwestern</strong> <strong>University</strong> Medical School Alumni Association.<br />

Because of his strong alumni ties, he was tapped to chair the successful<br />

1988-1993 Alumni Fund Campaign for Medical Research<br />

and the Life Sciences. He and his wife co-chaired fundraising<br />

efforts for the medical school’s Albert B. Gerbie Professorship in<br />

Obstetrics and Gynecology, in memory of his brother.<br />

After the alumni awards, Michael R. Barratt, MD ’85, GME<br />

’89, who returned from his mission on the International Space<br />

Station in fall 2009, presented Dr. Glassroth with the medical<br />

school’s Sesquicentennial Banner, which he carried in his official<br />

flight pack. While Alumni Board president Dr. Doug Carr and<br />

emcee Glassroth unfurled the purple and white, Dr. Barratt<br />

shared the travels of this special flag. “It was launched on Space<br />

Shuttle Discovery 119 in March 2009 and spent 180 days in space,<br />

logging over 75 million miles.”<br />

26 ward rounds spring 2010


Send items for Progress Notes to ward-rounds@northwestern.edu<br />

or to the street address on page 29.<br />

Progress Notes Awards & Honors<br />

Jay Perman, MD<br />

’72, has been<br />

appointed the new<br />

president for the<br />

<strong>University</strong> of<br />

Maryland, Baltimore,<br />

where the<br />

schools of medicine,<br />

nursing, pharmacy,<br />

dentistry,<br />

social work, and law are located, along<br />

with a graduate school. Currently, Dr.<br />

Perman is dean and vice president for clinical<br />

affairs at the <strong>University</strong> of Kentucky<br />

College of Medicine. He will join UMB as<br />

president in early July.<br />

Arnold R. Eiser, MD ’74, received the<br />

ACGME Parker Palmer Courage to Lead<br />

Award for Designated Institutional Official<br />

in March at their annual conference.<br />

He has also been named a senior fellow of<br />

the Jefferson School of Population Health<br />

and an associate fellow at the Center for<br />

Bioethics at the <strong>University</strong> of Pennsylvania<br />

School of Medicine. Dr. Eiser continues<br />

as vice president of medical education<br />

for the Mercy Health System and associate<br />

dean and professor of medicine at Drexel<br />

<strong>University</strong> College of Medicine.<br />

In January,<br />

Christina Jenkins,<br />

MD ’00, was<br />

appointed by<br />

Mayor Michael<br />

Bloomberg to the<br />

board of directors<br />

of New York<br />

City’s Health and<br />

Hospitals Corporation<br />

(HHC). HHC is the largest municipal<br />

health care system in the U.S., with<br />

11 acute care hospitals serving 1.2 million<br />

New Yorkers annually. Dr. Jenkins is<br />

adjunct faculty at the Mount Sinai<br />

Medical Center and chief medical officer<br />

of HealthWage, a health care startup<br />

launched in October 2009 to provide<br />

incentives promoting long-term changes<br />

in behaviors associated with preventable<br />

diseases.<br />

The Mayor of<br />

Highland Park, Ill.,<br />

has appointed<br />

Albert J. Miller,<br />

MD ’46, to the<br />

Healthy Highland<br />

Park Task Force,<br />

an organization<br />

dedicated to health<br />

education and<br />

implementation of preventive measures<br />

in that city.<br />

Michael F. Schafer, MD, GME ’72,<br />

was appointed chair of the Communications<br />

Cabinet of the American Academy<br />

of Orthopaedic Surgeons at its board of<br />

directors meeting in New Orleans in<br />

March. During his two-year term, he will<br />

help communicate the academy’s activities<br />

to members, patients and the public. The<br />

cabinet will plan, organize, direct, and<br />

evaluate ongoing communication vehicles<br />

for the academy.<br />

A “Renaissance Man”<br />

Galter Library<br />

Changes Alumni<br />

Services<br />

Nicholas Demos, MD ’55, GME ‘58, of Short Hills, N.J., is professor of clinical surgery<br />

at <strong>University</strong> of Medicine and Dentistry, New Jersey, where he has been teaching since<br />

the early 1960s. Dr. Demos spends his weekends painting and perfecting his foreign<br />

language skills. “I speak English, Greek, and Spanish fluently, while I simply get by<br />

speaking French, German, and Italian. I am also able to say ‘good morning’ in two<br />

dozen other languages.”<br />

As of June 1, 2010, the Galter Health Sciences<br />

Library will provide only on-site<br />

access to GHSL print and electronic materials<br />

to alumni with a valid Alumni Membership<br />

card. Remote electronic access to<br />

JAMA and other materials will no longer<br />

be available. Electronic copies of Libraryowned<br />

articles can be accessed for a fee<br />

through the Loansome Doc service. Free<br />

alumni services include answers to short<br />

reference questions, book check out for<br />

locals, and classes on many topics. Indepth<br />

literature research services can be<br />

provided for a fee.<br />

See the full alumni service list at:<br />

www.galter.northwestern.edu/Request-<br />

Services-and-Materials/alumni.<br />

wardroundsonline.com 27


ALUMNI NEWS<br />

Progress Notes<br />

1950<br />

William Cape, MD, GME ’51, of Lake<br />

Forest, Ill., is attending physician emeritus<br />

at Highland Park Hospital. Dr. Cape and<br />

his wife, Norma, are enjoying life at Lake<br />

Forest Place, a retirement community.<br />

While Dr. Cape spends one day per week<br />

practicing cardiology at a free clinic, he says<br />

the couple spends most of their time feeding<br />

their addiction to competitive bridge.<br />

An Able Wife, Mother, Doctor<br />

1960<br />

Elsie Enns Steelberg, MD, of Wichita,<br />

Kan., continues to practice as a full-time<br />

psychiatrist. In order to spend more time<br />

seeing patients, she joined a psychotherapist<br />

and an advanced registered nurse<br />

practitioner in opening a private practice<br />

in October 2008.<br />

1969<br />

Louis Fazen III, MD, is chairman of the<br />

Board of Health in Southborough, Mass.<br />

After leaving an established pediatrics<br />

practice two years ago, Dr. Fazen says he<br />

is now enjoying his “encore career.” He<br />

also works part time with the Indian<br />

Health Service, taking numerous trips to<br />

the Painted Desert in Tuba City, Ariz., and<br />

to the golden wheat fields of Wolf Point,<br />

Mont. Dr. Fazen says these experiences<br />

have taught him a great deal about the<br />

Navajo and Sioux cultures.<br />

1985<br />

S. Ahmed Abdullah, MD, a plastic surgeon<br />

and owner of Plastic Surgery Institute<br />

in Fargo, N.D., and founder of Lexli<br />

International, a skin care company,<br />

recently partnered with the Dubai Health<br />

Authority to sponsor the construction of<br />

a 100-bed surgical specialty hospital in<br />

Dubai. Care at the hospital will be provided<br />

by board-certified physicians from<br />

the U.S. who will administer services to<br />

patients during month-long rotations. Dr.<br />

Abdullah says he is in search of physicians<br />

to participate in this project.<br />

Laurie Gutstein, MD, GME ’90, of Fort<br />

Meyers, Fla., is a diagnostic radiologist for<br />

NightHawk Radiology Services. Dr. Gutstein<br />

has been performing teleradiology for<br />

the past seven years.<br />

Lynn Ables, MD ‘85, GME ’88, of Winfield, Ill., was diagnosed with stage 3 breast cancer in<br />

October 2006, but is happy to report she completed treatment in January 2008 and is<br />

doing well. She and her husband, Dennis Lyons, have five children (ages 4 to 10), including<br />

two sets of twins. Dr. Ables is currently employed as a pediatrician at Wheaton Pediatrics.<br />

Phil Johnson, MD, of Lakeside, Ariz., is<br />

on the state advisory board, assisting in the<br />

development of the trauma system. Dr.<br />

Johnson is also assistant professor and<br />

medical director of the emergency department<br />

at Summit Healthcare Regional<br />

Medical Center.<br />

1986<br />

John J. Alam, MD, of Cambridge, Mass.,<br />

recently joined Inhibitex, Inc. as its senior<br />

medical advisor. Dr. Alam will be responsible<br />

for formulating and directing the<br />

clinical and regulatory strategies for Inhibitex’s<br />

development programs. Dr. Alam<br />

was formerly executive vice president of<br />

medicines development and chief medical<br />

officer at Vertex Pharmaceuticals, Inc.<br />

Vikram Khanna, MD, of South Barrington,<br />

Ill., and his wife, Ruby Khanna,<br />

DC, recently welcomed their second child,<br />

Jahaan Dev. He joins sister Rania Shree.<br />

1999<br />

Richard Heller III, MD, GME ’00, of<br />

Oak Lawn, Ill., and his wife, Beth, have<br />

two boys, Richard IV (4 years old) and<br />

Julian (2 years old). Dr. Heller is chief of<br />

pediatric radiology at Advocate Hope<br />

Children’s Hospital.<br />

2000<br />

Brendan Tribble, MD, has been working<br />

as an anesthesiologist at the Naval Medical<br />

Center San Diego. Dr. Tribble and his<br />

wife, Leah, will be moving their family to<br />

Guam this fall. Dr. Tribble was previously<br />

stationed for three years in Spain, where<br />

he served as a flight surgeon.<br />

2001<br />

Anand Shivnani, MD, GME ’06, of<br />

Irving, Texas, and his wife, Sarika B. Shivnani,<br />

MD, welcomed their second son,<br />

Vijay, on March 3, 2009. Dr. A. Shivnani is<br />

currently a radiation oncologist at Baylor<br />

Irving Cancer Center.<br />

28 ward rounds spring 2010


UPCoMIng EVEnTS<br />

2003<br />

Carina Yang, MD, GME ’08, FEL ’09,<br />

of Chicago, will soon be joining a private<br />

radiology practice in Naperville, Ill.<br />

For the past year, Dr. Yang has been a<br />

neuroradiology attending at Children’s<br />

Memorial Hospital, where she is also<br />

assistant professor of radiology.<br />

In Memoriam<br />

John W. Brouhard, MD ’53, GME ’58,<br />

GME ’60, of Arlington Heights, Ill., died<br />

November 7, 2009.<br />

G. Tyson Carpenter, MD ’45, of St.<br />

Joseph, Mo., died February 5, 2010.<br />

Allen M. Ransdell, MD ’59, GME ’65,<br />

GME ’68, of San Diego, Calif., died<br />

February 25, 2010.<br />

Alexander Sanders, MD ’36, of Indianapolis,<br />

Ind., died March 8, 2010.<br />

Homer M. Smathers, MD ’43, of<br />

West Bloomfield, Mich., died February<br />

27, 2010.<br />

Edward O. Willoughby, MD ’43, GME<br />

’49, of Downers Grove, Ill., died March<br />

16, 2010.<br />

Items for Progress Notes may be<br />

sent to the Office of Communications,<br />

<strong>Northwestern</strong> <strong>University</strong>,<br />

Feinberg School of Medicine,<br />

420 East Superior Street, Rubloff<br />

12th floor, Chicago, Illinois 60611<br />

or via e-mail to ward-rounds@<br />

<strong>Northwestern</strong>.edu. They may also<br />

be submitted online at www.ward<br />

roundsonline.com. Be sure to include<br />

the year the MD degree was received<br />

or the GME or Other Program was<br />

completed. Photo submissions also<br />

are welcomed. Please note: Progress<br />

Notes appearing in the print edition<br />

of <strong>Ward</strong> <strong>Rounds</strong> may be posted on<br />

<strong>Ward</strong><strong>Rounds</strong>Online.com and are<br />

password-protected.<br />

August 7, 2010<br />

Update of Eczema, Asthma, and Atopic Conditions /<br />

<strong>Northwestern</strong> Memorial Hospital, Feinberg Pavilion Conference<br />

Center, 251 E. Huron, Chicago. For more information, call<br />

312/695-6837.<br />

August 13-15, 2010<br />

Controversies & Conversations in Laser and Cosmetic<br />

Surgery / Four Seasons Aviara, 7100 Four Seasons Point,<br />

Carlsbad, Calif. Associate course director: Murad Alam, MD.<br />

For more information, call 817/922 -0984.<br />

Oc tober 6 , 2010<br />

2nd Annual Hospital Medicine Procedures Precourse /<br />

<strong>Northwestern</strong> Memorial Hospital, Feinberg Pavilion Conference<br />

Center, 251 E. Huron, Chicago. For more information, contact<br />

the Office of Continuing Medical Education, <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine, 312/503-8533.<br />

Oc tober 7- 9 , 2010<br />

6th Annual Midwestern Hospital Medicine Conference /<br />

<strong>Northwestern</strong> Memorial Hospital, Feinberg Pavilion Conference<br />

Center, 251 E. Huron, Chicago. For more information, contact<br />

the Office of Continuing Medical Education, <strong>Northwestern</strong><br />

<strong>University</strong> Feinberg School of Medicine, 312/503-8533.<br />

Oc tober 16 -18 , 2010<br />

Echo <strong>Northwestern</strong> 2010 / <strong>Northwestern</strong> Memorial Hospital,<br />

Feinberg Pavilion Conference Center, 251 E. Huron, Chicago.<br />

For more information, contact the Office of Continuing Medical<br />

Education, <strong>Northwestern</strong> <strong>University</strong> Feinberg School of<br />

Medicine, 312/503-8533.<br />

Oc tober 28-31, 2010<br />

12th Annual Lynn Sage Conference / Fairmont Hotel, 200<br />

North Columbus Dr., Chicago. For more information, contact the<br />

Robert H. Lurie Comprehensive Cancer Center of <strong>Northwestern</strong><br />

<strong>University</strong> Education Center, 312/695-1392.<br />

correction:<br />

A photo caption in the Spring 2010 Progress Notes entitled,<br />

“Visiting Beirut,” misidentified Dr. Fuad Chemali’s wife Dolly<br />

(who is pictured in the photo) as Lynn Eckert, MD, DPH, the<br />

spouse of Dr. Louis Fazen III. Our apologies for this error.<br />

Additional photography<br />

Randy Belice, p.1 (bottom), pp.18-21<br />

Andrew Campbell, p. 2<br />

Teresa Crawford, pp. 4, 5, 19, 21<br />

Nathan Mandell, pp. 3, 23<br />

Jim Ziv, p. 1 (top), pp. 10, 13


<strong>Northwestern</strong> <strong>University</strong><br />

Office of Communications<br />

<strong>Northwestern</strong> <strong>University</strong><br />

Feinberg School of Medicine<br />

420 East Superior Street, Rubloff 12th floor<br />

Chicago, Illinois 60611<br />

Change Service Requested<br />

Look for our first onlineonly<br />

issue of <strong>Ward</strong> <strong>Rounds</strong><br />

in October.<br />

It will include a photo feature on the new<br />

Simulation Technology and Immersive<br />

Learning Center at Feinberg.<br />

Provide us with your current e-mail address and we will send you a link when the fall issue is “live.”<br />

Sign up at www.medschool.northwestern.edu/alumni/e-mail/form.html<br />

<strong>Ward</strong> <strong>Rounds</strong> is printed on 10%<br />

post-consumer-waste paper.<br />

Nonprofit Organization<br />

U.S. Postage<br />

PAID<br />

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